Principal Membership Application

Company Details

Company name *

Street Address

Unit number

City

Province

Postal Code

Website

Phone

Email Address

Company TypeCommodity ShipperShip Owner, Operator or Agency

Business Overview *0 / 1000

Annual tonnage

Company Representative(s)

Prefix

First Name

Last Name

Title for Primary Representative

Email Address

Phone

Prefix

First Name

Last Name

Title for Alternate

Email Address

Phone

Consent *

By applying for membership, you agree that upon approval of the application by the Board of Directors, that you will be guided by the Chamber of Shipping's Constitution and By-laws and remit any dues and assessments as determined by the Board of Directors to remain in good standing.

Signature

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